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Introduction: Minimizing job-related health risks is one of the priorities for implementing strategic objectives of the demographic policy of the Russian Federation. Objective: To assess the group risk of work-related diseases in employees of modern petroleum product manufacturing. Materials and methods: The study involved 467 men aged 41.56 ± 9.24 years with 14.87 ± 9.39 years of duration of current employment. Comprehensive hygienic and epidemiological studies of working conditions and health of core personnel of a petroleum refinery were conducted. The causal relationship between working conditions and health disorders was assessed using the relative risk (OR), its 95 % confidence interval (CI) and etiologic fraction (EF). Assessment and categorization of occupational risk levels of work-related diseases and evaluation of their acceptability were performed in accordance with R 2.2.3969–23, Russian Guidelines for Assessing Occupational Risks to Workers’ Health: Organizational and Methodological Foundations, Principles and Criteria for Assessment. Microsoft Excel and Statistica10.0 were used for statistical data analysis. Results: We have established that working conditions in petroleum product manufacturing are noted for combined exposure to classes 2 to 4 hazardous chemicals, noise, heavy work and heating microclimate (secondary refining) and are classified as harmful (degrees 2 to 3) and posing occupational risks to workers’ health. Statistically significant cause-and-effect relationships were revealed between working conditions and moderate musculoskeletal and connective tissue diseases (OR = 1.77; EF = 43 %) and severe diseases of the eye and adnexa (OR = 4.496; EF = 78 %). The levels of group occupational risk of diseases ranged from moderate (0.65 × 10–2) for myopia to medium (3.28 × 10–2) for obesity and high (3.28 × 10–2) for dorsalgia, all being unacceptable. The risk of health disorders was found to be determined by factors of the occupational environment at different stages of the technological process. Workers engaged in primary oil refining were at high risk of dorsalgia (6.65 × 10–2) and obesity (3.98 × 10–2); those engaged in secondary refining were at medium risk of disorders of refraction and accommodation (2.09 × 10–2); workers of the electrical equipment operation shop were at high risk of disorders of refraction and accommodation (5.55 × 10–2) and at moderate risk of dorsalgia (0.94 × 10–2), all being unacceptable. Conclusion: Occupational risk of a high (unacceptable) level is the basis for the development of targeted measures of disease prevention in oil refining workers given their involvement at different stages of the technological process.
Introduction: Minimizing job-related health risks is one of the priorities for implementing strategic objectives of the demographic policy of the Russian Federation. Objective: To assess the group risk of work-related diseases in employees of modern petroleum product manufacturing. Materials and methods: The study involved 467 men aged 41.56 ± 9.24 years with 14.87 ± 9.39 years of duration of current employment. Comprehensive hygienic and epidemiological studies of working conditions and health of core personnel of a petroleum refinery were conducted. The causal relationship between working conditions and health disorders was assessed using the relative risk (OR), its 95 % confidence interval (CI) and etiologic fraction (EF). Assessment and categorization of occupational risk levels of work-related diseases and evaluation of their acceptability were performed in accordance with R 2.2.3969–23, Russian Guidelines for Assessing Occupational Risks to Workers’ Health: Organizational and Methodological Foundations, Principles and Criteria for Assessment. Microsoft Excel and Statistica10.0 were used for statistical data analysis. Results: We have established that working conditions in petroleum product manufacturing are noted for combined exposure to classes 2 to 4 hazardous chemicals, noise, heavy work and heating microclimate (secondary refining) and are classified as harmful (degrees 2 to 3) and posing occupational risks to workers’ health. Statistically significant cause-and-effect relationships were revealed between working conditions and moderate musculoskeletal and connective tissue diseases (OR = 1.77; EF = 43 %) and severe diseases of the eye and adnexa (OR = 4.496; EF = 78 %). The levels of group occupational risk of diseases ranged from moderate (0.65 × 10–2) for myopia to medium (3.28 × 10–2) for obesity and high (3.28 × 10–2) for dorsalgia, all being unacceptable. The risk of health disorders was found to be determined by factors of the occupational environment at different stages of the technological process. Workers engaged in primary oil refining were at high risk of dorsalgia (6.65 × 10–2) and obesity (3.98 × 10–2); those engaged in secondary refining were at medium risk of disorders of refraction and accommodation (2.09 × 10–2); workers of the electrical equipment operation shop were at high risk of disorders of refraction and accommodation (5.55 × 10–2) and at moderate risk of dorsalgia (0.94 × 10–2), all being unacceptable. Conclusion: Occupational risk of a high (unacceptable) level is the basis for the development of targeted measures of disease prevention in oil refining workers given their involvement at different stages of the technological process.
Introduction. The results of the occupational risk assessment are additional to a special assessment of the working conditions for obtaining quantitative information on the likelihood of developing health disorders. Occupational risk models have not been approved yet, and the proposed approach allowed assessing a priori risk from various harmful factors and conditions, predicting workload, and elevating the effectiveness of preventive measures. Materials and Methods. The assessment of a priori occupational risk from exposure to noise, chemicals and stress-related risk factors was performed at the workshop No. 1 of the oil refinery «KINEF» LLC using the proven models. The results of studies and measurement, conducted in 2020 within the special assessment of working conditions, were used as an input data. Results. The levels of occupational risk caused by exposure to a chemical factor did not reach values significant for the development of occupational disease, regardless of service length. The levels of occupational risk from exposure to noise at individual workplaces formed a risk level significant for the development of occupational diseases with the work experience of more than 30 and 40 years. At individual workplaces, the risk associated with the work intensity is relevant for the work experience of more than 20 years. There were identified persons whose professional experience allows determining the risk levels significant for the development of occupational diseases. Limitations. The limitations of the study are uncertainties associated with conducting a special assessment of the working conditions. Conclusion. Occupational risk assessment makes it possible to supplement the existing approaches with a quantitative assessment of the probable damage to workers health, to identify the vulnerable groups of employees, to determine the length of service considering the exposure factors.
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